Dear riveral, the lack of hormones and the aging process ruins everything! Some of the most attractive women I know are in their 40s so you are in a great age. Moreover this is the right time for you to have the MM because the forties is a great age where you are still young enough to bounce back from surgery quickly so don't wait too long. If you think menopause will damage your MM results making it not worthwhile I'd say that it will damage you even more if you don't do the makeover. A lot of people think aging is all in your mind, I'm not so sure about that! What I know is that if you eat healthy and stay fit you will defeat the effects of aging wether or not you take hormonal replacements. I also know that bioidentical hormonal replacement does a lot for your skin, health and attitude. You're only 44, please don't give up